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目的:探讨早期肠内营养对重症神经内科疾病患者肺内感染发生率的影响。方法:将100例重症神经内科疾病患者随机分成对照组和观察组各50例。对两组患者给予常规治疗,观察组在给予常规治疗的基础上实施早期肠内营养,对比两组患者在住院期间肺内感染的发生情况。结果:观察组发生肺内感染18例,发生肺内二重感染20例,肺内感染死亡率8.0%,肺内感染持续时间为(6.35±2.58)d,呼吸机使用率37.5%,呼吸机使用时间为(6.52±0.78)d;对照组发生肺内感染28例,发生肺内二重感染23例,肺内感染死亡率14%,肺内感染持续时间为(16.28±1.43)d,呼吸机使用率47.5%,呼吸机使用时间为(17.27±0.45)d,两组疗效比较有显著差异(P<0.05)。结论:实施早期肠内营养的方法可以降低重症神经内科患者患肺内感染的概率,提高生活质量,值得临床推广。
Objective: To investigate the effect of early enteral nutrition on the incidence of pulmonary infection in patients with severe neurological diseases. Methods: 100 cases of severe neurological diseases were randomly divided into control group and observation group of 50 cases. The two groups of patients given conventional treatment, the observation group on the basis of conventional treatment of early enteral nutrition implementation, compared two groups of patients during hospitalization for pulmonary infection. Results: In the observation group, there were 18 cases of intrapulmonary infection, 20 cases of intrapulmonary double infection and 8.0% of intra-pulmonary infection. The duration of pulmonary infection was (6.35 ± 2.58) days, the rate of ventilator utilization was 37.5% (6.52 ± 0.78) days. The incidence of pulmonary infection in control group was 28 cases, 23 cases of intrapulmonary double infection, 14% of intra-pulmonary infection, and the duration of pulmonary infection was (16.28 ± 1.43) days. Machine use rate was 47.5% and ventilator use time was (17.27 ± 0.45) d, there was significant difference between the two groups (P <0.05). Conclusion: The method of early enteral nutrition can reduce the probability of lung infection in patients with severe neurology and improve the quality of life, which deserves clinical promotion.